Individual
MISS IVY MITCHELL COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., NA
Contact information
Practice address
800 BOULDER SPRINGS DR, #B2, RICHMOND, VA 23225-5535
(804) 617-1762
(804) 447-1449
Mailing address
800 BOULDER SPRINGS DR, #B2, RICHMOND, VA 23225-5535
(804) 617-1762
(804) 447-1449
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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